Reversible Acute Mesenteric Ischemia
Abstract
A 60-year-old man presented with abdominal pain and hypotension. He had recently had thrombosis of the superior mesenteric artery; CT showed jejunal dilatation and thinning of the bowel wall. Videos show mucosal gangrene, hemorrhage, and healing.
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No specific clinical or biological signs have proven to be sufficiently sensitive or specific to suggest the diagnosis of AMI in the emergency setting.
“Indeed, no specific clinical or biological signs have proven to be sufficiently sensitive or specific to suggest the diagnosis in the emergency setting [1, 9, 13, 26].”
From Improving clinical suspicion of acute mesenteric ischemia among patients with acute abdomen: A cross-sectional study from an intestinal stroke center (2023) · cites this paper as [9]
Early AMI is a fully reversible condition, as opposed to late AMI with irreversible transmural necrosis.
“Indeed, early AMI is a fully reversible condition, as opposed to late AMI, with irreversible transmural necrosis [1, 4, 9].”
From Improving clinical suspicion of acute mesenteric ischemia among patients with acute abdomen: A cross-sectional study from an intestinal stroke center (2023) · cites this paper as [9]
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Nuzzo, A., Maggiori, L., Ronot, M., Becq, A., Plessier, A., Gault, N., Joly, F., Castier, Y., Vilgrain, V., Paugam, C., et al. (2017) · American Journal of Gastroenterology · doi:10.1038/ajg.2017.38 · Cited by 233 · see citing works
Self-citationSerological biomarkers for acute mesenteric ischemia
Memet, O., Zhang, L., & Shen, J. (2019) · Annals of Translational Medicine · doi:10.21037/atm.2019.07.51 · Cited by 87 · see citing works
Diagnosis biomarkers in acute intestinal ischemic injury: so close, yet so far
Peoc’h, K., Nuzzo, A., Guedj, K., Paugam, C., & Corcos, O. (2018) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm-2017-0291 · Cited by 86 · see citing works
Self-citationAcute mesenteric ischemia: A critical role for the radiologist
Copin, P., Zins, M., Nuzzo, A., Purcell, Y., Beranger-Gibert, S., Maggiori, L., Corcos, O., Vilgrain, V., & Ronot, M. (2018) · Diagnostic and Interventional Imaging · doi:10.1016/j.diii.2018.01.004 · Cited by 73 · see citing works
Self-citationPredictive Factors for Intestinal Transmural Necrosis in Patients with Acute Mesenteric Ischemia
Emile, S. H. (2018) · World Journal of Surgery · doi:10.1007/s00268-018-4503-3 · Cited by 52 · see citing works
Oral Antibiotics Reduce Intestinal Necrosis in Acute Mesenteric Ischemia: A Prospective Cohort Study
Nuzzo, A., Maggiori, L., Paugam-Burtz, C., Cazals-Hatem, D., Ronot, M., Huguet, A., Becq, A., Castier, Y., Weiss, E., Plessier, A., et al. (2019) · American Journal of Gastroenterology · doi:10.1038/s41395-018-0389-9 · Cited by 45 · see citing works
Self-citationL’ischémie mésentérique à l’ère des structures d’urgences vasculaires intestinales
Nuzzo, A., & Corcos, O. (2017) · La Revue de Médecine Interne · doi:10.1016/j.revmed.2017.01.018 · Cited by 29 · see citing works
Self-citationNormal Lactate and Unenhanced CT-Scan Result in Delayed Diagnosis of Acute Mesenteric Ischemia
Nuzzo, A., Joly, F., Ronot, M., Castier, Y., Huguet, A., Paugam-Burtz, C., Cazals-Hatem, D., Tran-Dinh, A., Becq, A., Panis, Y., et al. (2020) · American Journal of Gastroenterology · doi:10.14309/ajg.0000000000000836 · Cited by 28 · see citing works
Self-citationNuzzo, A., Peoc’h, K., Vaittinada Ayar, P., Tran-Dinh, A., Weiss, E., Panis, Y., Ronot, M., Garzelli, L., Eloy, P., Ben Abdallah, I., et al. (2023) · World Journal of Emergency Surgery · doi:10.1186/s13017-023-00505-8 · Cited by 22 · see citing works
Self-citationLiu, Z., Li, C., Liu, M., Song, Z., Moyer, M. P., & Su, D. (2022) · International Journal of Biological Sciences · doi:10.7150/ijbs.72283 · Cited by 19 · see citing works
Prise en charge moderne des ischémies mésentériques
Nuzzo, A., Huguet, A., & Corcos, O. (2018) · La Presse Médicale · doi:10.1016/j.lpm.2018.03.019 · Cited by 17 · see citing works
Self-citationZhuang, X., Chen, F., Zhou, Q., Zhu, Y., & Yang, X. (2021) · BMC Gastroenterology · doi:10.1186/s12876-021-01746-0 · Cited by 15 · see citing works
Colonic involvement in acute mesenteric ischemia: Prevalence, risk factors, and outcomes
Ksouri, A., Copin, P., Bonvalet, F., Bozi, L., Cazals-Hatem, D., Garzelli, L., Panis, Y., Weiss, E., Castier, Y., Bouhnik, Y., et al. (2022) · European Radiology · doi:10.1007/s00330-021-08318-6 · Cited by 14 · see citing works
Self-citationBiomarkers for acute mesenteric ischemia diagnosis: state of the art and perspectives
Peoc’h, K., & Corcos, O. (2019) · Annales de biologie clinique · doi:10.1684/abc.2019.1449 · Cited by 14 · see citing works
Self-citationEarly Acute Mesenteric Ischemia: Many Rivers to Cross
Nuzzo, A., Ronot, M., Maggiori, L., & Corcos, O. (2017) · Annals of Surgery · doi:10.1097/sla.0000000000002489 · Cited by 10 · see citing works
Self-citationAcute Mesenteric Thrombosis: A Hematologist Perspective
Moiz, B., Muslim, Z., Siddiqui, Z. F., & Zafar, H. (2020) · Clinical and Applied Thrombosis/Hemostasis · doi:10.1177/1076029620932999 · Cited by 3 · see citing works
L’ischémie mésentérique à l’ère des structures d’urgences vasculaires intestinales
Nuzzo, A., & Corcos, O. (2017) · Journal Européen des Urgences et de Réanimation · doi:10.1016/j.jeurea.2017.10.008 · Cited by 2 · see citing works
Self-citationNuzzo, A., Castier, Y., & Corcos, O. (2023) · Springer eBooks · doi:10.1007/978-3-031-22265-8_6 · Cited by 1 · see citing works
Self-citationWang, G.-L., Li, Q., Ni, J., Shen, Y.-F., Xu, L., & Jin, Q. (2026) · World Journal of Stem Cells · doi:10.4252/wjsc.v18.i4.117067 · Cited by 1 · see citing works
D’Agostino, V., Coppola, L., Barillaro, A., Spaziano, M., Bonacci, N., Castaldo, S., Nappa, C., Iacuessa, G., Cerrone, F., & Salzano, A. (2023) · Radiology Case Reports · doi:10.1016/j.radcr.2023.06.064 · Cited by 1 · see citing works
Imagerie de l’ischémie mésentérique aiguë
Copin, P., Zins, M., Pommier, R., Roche, V., Purcell, Y., Raynaud, L., Vilgrain, V., & Ronot, M. (2018) · Journal d imagerie diagnostique et interventionnelle · doi:10.1016/j.jidi.2018.01.002
Republication de : Prise en charge moderne des ischémies mésentériques
Nuzzo, A., Huguet, A., & Corcos, O. (2018) · Journal Européen des Urgences et de Réanimation · doi:10.1016/j.jeurea.2018.10.003
Self-citationAngioplasty and Stenting of the Mesenteric Arteries
Girault, A., Fillet, P., & Pellenc, Q. (2024) · Springer eBooks · doi:10.1007/978-3-031-42735-0_31
Pyar, K. P. (2024) · Journal of Clinical Images and Medical Case Reports · doi:10.52768/2766-7820/3040
Douleur abdominale aiguë non traumatique
Puygrenier, P., Hamzaoui, Y., Chéreau, N., & Ménégaux, F. (2025) · EMC - Traité de médecine AKOS · doi:10.1016/s1634-6939(25)48868-1
Xue, J., Lin, Q., & Gao, S. (2025) · Current Problems in Surgery · doi:10.1016/j.cpsurg.2025.101915
Nuzzo, A., Peoc’h, K., Ayar, P. V., Tran‐Dinh, A., Weiss, E., Panis, Y. H., Ronot, M., Garzelli, L., Eloy, P., Abdallah, I. B., et al. (2023) · Figshare · doi:10.6084/m9.figshare.23354454
Self-citationDolor abdominal agudo no traumático
Puygrenier, P., Hamzaoui, Y., Chéreau, N., & Ménégaux, F. (2026) · EMC - Tratado de Medicina · doi:10.1016/s1636-5410(26)51342-4
Dolore addominale acuto non traumatico
Puygrenier, P., Hamzaoui, Y., Chéreau, N., & Ménégaux, F. (2026) · EMC - AKOS - Trattato di Medicina · doi:10.1016/s1634-7358(26)51481-5
Manejo quirúrgico de la isquemia mesentérica aguda: evidencia actualizada
Llivipuma, V. F. V., Matute, E. P. R., Guashpa, A. L. G., Chávez, V. S. M., Parra, M. R. R., Cajas, N. A. R., Bautista, A. S. C., & Cañarte, F. A. P. (2026) · Ibero-American Journal of Health Science Research · doi:10.56183/iberojhr.v6i2.1022
- Authors
- Nuzzo, A., & Corcos, O.
- Affiliations
- Hôpital Beaujon (FR)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2016-10-13
- Volume
- 375
- Issue
- 15
- Pages
- e31
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2530557787
- Cited by
- 28
- References
- 0
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 4 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 6 · 2017: 5
- FWCI
- 4.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Surgery › Intestinal and Peritoneal Adhesions
- Health Sciences › Medicine › Rheumatology › Omental and Epiploic Conditions
- Keywords
- acute mesenteric ischemia, superior mesenteric artery thrombosis, hypotension, abdominal pain, intestinal hemorrhage, intestinal healing, reversible ischemia
- MeSH terms
- Acute Disease, Humans, Ischemia, Jejunum, Male, Mesenteric Vascular Occlusion, Middle Aged, Tomography, X-Ray Computed, Mesenteric Artery, Superior
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